Community Service Hours Log

STOP AND READ!

If you have not already done so, please make sure to fill out your service verification form which can be downloaded here. If not, please have your service supervisor email you with a verification so you can upload the document accordingly.

First Name

Middle Name

Last Name

Birthdate

OKstate Email Address

Phone Number

Date(s) of Service (please put individual hours for each date, then total in the next field)

How many hours have you completed? Please round to the closest quarter of an hour. (For example One hour and fifteen minutes put 1.25. For one hour and thirty minutes put 1.50 and for one hours and forty five minutes put 1.75. For two hours put 2)

Please check this box to verify that you did not receive anything in return for your volunteer service.

These hours were volunteer hours. I did not receive payment for them.

With what organization did you complete these hours?

Please include any notes about what you learned or what skills you gained during your volunteer.

Contact information of supervisor (Phone or email)

Service Verification (email or signed sheet from service supervisor)